title: Fascia iliaca compartment block reduces emergence agitation by providing effective analgesic properties in children.
abstract: OBJECTIVE
  To determine whether fascia iliaca compartment block (FICB) reduces emergence agitation.
  
  
  METHODS
  Prospective, randomized, blinded clinical trial.
  
  
  METHODS
  Operating room and Postanesthesia Care Unit (PACU) of a university hospital.
  
  
  METHODS
  64 ASA physical status 1 and 2 pediatric patients aged three to 7 years, scheduled for orthopedic surgery involving the anterior or lateral thigh.
  
  
  METHODS
  Patients enrolled in the FICB group received FICB immediately after the operation, while control group patients received intravenous (IV) patient/parent-controlled analgesia (PCA) with fentanyl.
  
  
  METHODS
  Severity of agitation and pain were evaluated using the Pediatric Agitation and Emergence Delirium (PAED) scale and the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS). Data were collected at 10-minute intervals in the PACU. The results were analyzed using the t-test.
  
  
  RESULTS
  PAED scores in the FICB group were significantly lower than those of the control group on arrival at the PACU (7.3 ± 2.9 vs 10.4 ± 3.2, P < 0.001). The FICB group also had significantly lower CHEOPS pain scores than the control group, both on arrival at the PACU and 10 minutes after arrival (6.4 ± 1.5 vs 10.4 ± 1.8, P < 0.001 and 6.7 ± 1.6 vs 8.0 ± 1.4, P = 0.009, respectively).
  
  
  CONCLUSIONS
  In children having surgery on the thigh, FICB effectively reduced the severity of emergence agitation and postoperative pain during the immediate postoperative period.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul 110-744, Korea.
authors.forename: Hee-Soo
authors.initials: HS
authors.lastname: Kim
authors.forename: Chong Sung
authors.initials: CS
authors.lastname: Kim
authors.forename: Seong Deok
authors.initials: SD
authors.lastname: Kim
authors.forename: Jeong-Rim
authors.initials: JR
authors.lastname: Lee
mesh_terms: D016058:Analgesia, Patient-Controlled / Q000379:methods; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005283:Fentanyl / Q000008:administration & dosage; D006785:Hospitals, University; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods*; D019637:Orthopedic Procedures / Q000379:methods; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control*; D011446:Prospective Studies; D011595:Psychomotor Agitation / Q000209:etiology / Q000517:prevention & control; D016037:Single-Blind Method; D013848:Thigh / Q000601:surgery; D013997:Time Factors
chemical_list: D000701:Analgesics, Opioid; D005283:Fentanyl